Individual
ANNA B VAWTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
788 S WATTERS RD STE 120, ALLEN, TX 75013-5123
(972) 649-6999
Mailing address
PO BOX 1019, ALLEN, TX 75013-0017
(972) 954-5573
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
Q5593
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036105267
—
IL
Enumeration date
08/30/2006
Last updated
03/28/2018
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